Diabetes Driving India’s Silent Liver Disease Crisis, Study Warns
A groundbreaking study has revealed that Type 2 diabetes is emerging as a major cause of advanced liver disease in India, often progressing unnoticed until it becomes life-threatening. Published in The Lancet, the DiaFib-Liver Study is the largest real-world research of its kind in a developing country, highlighting the liver as a critical yet overlooked organ at risk among diabetic patients. The study, which assessed 9,202 adults across 27 healthcare centres, found that nearly 25% of patients had significant liver fibrosis, while about 14% had advanced disease. Alarmingly, around 5% had already reached a stage suggestive of cirrhosis—despite showing no obvious symptoms. Experts note a shift in the primary causes of severe liver conditions, with diabetes and obesity now surpassing viral infections like Hepatitis B and C. The underlying mechanism involves fat accumulation in the liver, leading to insulin resistance, chronic inflammation, and eventual scarring. Interestingly, the research also challenges the belief that liver disease primarily affects overweight individuals. Cases were observed even among lean patients, with a phenomenon termed “burnt-out” liver disease—where fat diminishes as fibrosis worsens—making detection even more difficult. Given that liver damage often remains silent until advanced stages, researchers emphasize the need for improved screening. They recommend tools like the FIB-4 score, derived from routine blood tests, and FibroScan imaging for early detection, instead of relying solely on ultrasounds. Encouragingly, the study highlights that early-stage liver damage can be reversed. A 5% reduction in body weight may reverse fibrosis in many cases, while a 10% reduction can significantly slow disease progression. With India home to over 10 crore diabetics and millions more at risk, integrating liver health checks into diabetes care programs could be key to preventing a large-scale health crisis. Source: TNN
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